Navigation Links
Early Psychosis Is Dangerous

There is a far greater risk of lethal assault during the first episode of psychotic illness compared to later episodes, warn mental health experts.//

In the latest Medical Journal of Australia (MJA), Dr Olav Nielssen, psychiatrist at St Vincent’s Hospital in Sydney, and his co-authors review homicides committed during psychotic illness in NSW between 1993 and 2002.

Of the 88 subjects, 54 (61 per cent) were in their first episode of psychotic illness and had not received effective treatment.

“People in their first episodes of mental illness should be considered to be at greater risk of committing serious violence than those in subsequent episodes,” says Dr Nielssen.

“The first episode of psychotic illness should be treated as a psychiatric emergency, with a lower threshold for initiating involuntary treatment.

The main reasons for lethal assault were frightening delusional beliefs in which the patient believed they were in immediate danger.

In a related MJA editorial, Dr Megan Kalucy, Psychiatrist and Masters student of Public Health at the University of Western Australia, and her colleague, Professor Ross Kalucy, Director of Emergency Mental Health at the Flinders Medical Centre in Adelaide, say assertive intervention in such cases may be easier said than done.

Dr Kalucy says it is obviously unrealistic to expect mental health services to predict and prevent all homicides in the context of psychosis because of their rarity and complexity.

“However this study alerts us to be concerned about the risks of homicide or serious violence in the context of early psychosis, especially where certain symptoms and circumstances are present,” says Dr Kalucy.

“Whilst assertive intervention may help to reduce homicide rates, it would require an intensive, multidisciplinary input with an often difficult to access population.”

Dr Kalucy recommends health professionals should develop a management plan in consultation with family members for any patients they consider a risk.

“Perceived risk by family members, who are most at risk of homicide, must be taken very seriously and be embedded in the ensuing management plan, which should include direct advice as to how they should respond to actual threat,” says Dr Kalucy.

Source-AA
SRM
'"/>




Related medicine news :

1. Early detection of prostate cancer
2. Early detection of heart attack
3. Early puberty linked to nutrition
4. Early Clue to Down Syndrome
5. Early delivery can prevent cancer
6. Early puberty more resistance
7. Early menopause- The cause
8. Early menopause- The cause
9. Early Warning System For Breast Cancer
10. Early therapy aids eyesight
11. Early detection of colorectal cancer may be hindered by coloured toilet disinfectants
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:6/25/2016)... ... June 25, 2016 , ... ... recover from injury. Recently, he has implemented orthobiologic procedures as a method for ... is one of the first doctors to perform the treatment. Orthobiologics are substances ...
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... A recent ... that most people are unfamiliar with. The article goes on to state that individuals ... also many of these less common operations such as calf and cheek reduction. The ...
(Date:6/24/2016)... ... June 24, 2016 , ... Marcy was in a crisis. Her son James, eight, was ... his family verbally and physically. , “When something upset him, he couldn’t control his emotions,” ... He would throw rocks at my other children and say he was going to kill ...
(Date:6/24/2016)... ... June 24, 2016 , ... Dr. Amanda Cheng, an ... Dr. Cheng has extensive experience with all areas of orthodontics, including robotic Suresmile ... orthodontics. , Micro-osteoperforation is a revolutionary adjunct to orthodontic treatment. It can ...
(Date:6/24/2016)... ... June 24, 2016 , ... People across the U.S. are sharpening ... Talker Award, an essay contest in which patients and their families pay tribute to ... at the 2016 National Society of Genetic Counselors (NSGC) Annual Education Conference (AEC) this ...
Breaking Medicine News(10 mins):
(Date:6/26/2016)... , June 27, 2016 Jazz Pharmaceuticals plc ... period under the Hart-Scott-Rodino Antitrust Improvements Act of 1976, ... of Celator Pharmaceuticals, Inc. ("Celator"; Nasdaq: CPXX ... (Eastern Daylight Time). As previously announced on ... a definitive merger agreement under which Jazz Pharmaceuticals has ...
(Date:6/24/2016)... 2016  Collagen Matrix, Inc., ("Collagen Matrix") the ... of collagen and mineral based medical devices for ... Bill Messer has joined the company as ... the growing portfolio of oral surgery, neurosurgery, orthopaedic ... joins the Collagen Matrix executive team as an ...
(Date:6/24/2016)... , June 24, 2016 ... of the "Structural Electronics 2015-2025: Applications, Technologies, ... In-Mold Electronics, Smart Skin, ... Photovoltaics Structural electronics involves electronic ... load-bearing, protective structures, replacing dumb structures such as ...
Breaking Medicine Technology: